Individual provider Active NPI

Massoud H. Agahi, M.D.

  • Vascular Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1952367070
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G75832 Issued in CA
Practice address
8750 Wilshire Blvd
Suite 150
Beverly Hills, CA 90211-2703
Phone
(310) 657-8237
Fax
(844) 769-8008
NPI assigned
Apr 26, 2006
Last updated
May 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G75832 CA Primary

Addresses

Primary practice location

8750 Wilshire Blvd
Suite 150
Beverly Hills, CA 90211-2703

Mailing address

PO Box 573099
Tarzana, CA 91357-3099
Phone (310) 657-8237

Other identifiers 1

IdentifierTypeStateIssuer
00G758320MedicaidCA

Other names 1

  • Massoud Haji-Aghaii Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000692 CA Practitioner - Vascular SurgeryPractitioner - Other (Physician) 1254337363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Temple University School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8750 Wilshire Blvd
Suite 150
Beverly Hills, CA 90211-2725
Phone (310) 657-8237

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)21
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75832CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massoud H. Agahi, M.D. Inc. Vascular Surgery CurrentSince Jan 1, 2007 Accepting new patients
Comprehensive Vascular Specialty Group Vascular Surgery Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

8635 W 3rd St
Ste 865W
Los Angeles, CA 90048
Phone (310) 657-8237

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1952367070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573099",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573099",
            "telephone_number": "310-657-8237",
            "fax_number": "844-769-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 WILSHIRE BLVD",
            "address_2": "SUITE 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112703",
            "telephone_number": "310-657-8237",
            "fax_number": "844-769-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAHI",
        "first_name": "MASSOUD",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G75832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G758320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASSOUD",
            "last_name": "HAJI-AGHAII",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.